Snyder, Mark Dean
Snyder, Mark Dean is an individual health care provider with primary practice located at 2845 Greenbrier Rd , Green Bay WI 54311-6519. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Snyder, Mark Dean can be contacted via phone (877) 229-0273.Contact Information
Primary practice address
2845 Greenbrier Rd
Green Bay WI 54311-6519
Phone: (877) 229-0273
Fax: (920) 288-4863
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 66415 | Connecticut |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 04-22743 | Kansas |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 2006001821 | Missouri |
| Allopathic & Osteopathic Physicians / Pain Medicine | 207LP2900X | 2006001821 | Missouri |
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 51782 | Wisconsin |
Profile Details
| NPI number | 1790778587 |
|---|---|
| LBN Legal business name | Snyder, Mark Dean |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Aug 26th, 2005 |
| Last updated | Aug 8th, 2023 - about last year |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1790778587 | NPPES |
| Kansas | MEDICAID | 100122940B | |
| Kansas | MEDICAID | 208986505 | |
| Kansas | MEDICAID | 35345000 |
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